Caregiver Support—Caring for Someone With Advanced Kidney Cancer

Understanding the role of caregiver

A caregiver is someone who helps a loved one cope with an illness by being there to provide emotional support and help with day-to-day tasks. Caregivers tend to live with the person for whom they provide care. More than 8 in 10 caregivers provide care to relatives. Although men do make up a large proportion of caregivers, the majority are women.

As a caregiver for your loved one, you can help with daily tasks such as picking up groceries, preparing meals, and providing transportation, as well as household tasks such as cleaning and laundry. You can also provide immense support by talking with healthcare professionals and by helping your loved one remember to take his or her medication.

It's important that you learn about all of the treatment options that are available for your loved one so that you can help make sure they are sticking to the treatment plan. By learning about how your loved one should take his or her medications, you can help them stick to the treatment plan they have created with the doctor. For instance, ask about how often a medicine should be taken, and whether it should be taken consistently with or consistently without food.

Preparing for the emotional journey ahead

As you care for your loved one with advanced kidney cancer, you may encounter various emotional reactions from them, such as feelings of loneliness, alienation, fear, anger, guilt, and frustration. These strong emotions are natural when someone is diagnosed with a life-threatening disease. You can provide immense support simply by listening and acknowledging the feelings of your loved one.

Remembering to take care of yourself

You may also discover that in helping your loved one cope with advanced kidney cancer, you may forget to take care of your own needs. Studies indicate that providing cancer care can take a toll on the emotional, physical, and financial health of caregivers.

Physical

Although caregivers are less likely to report poor health, factors such as gender, age, education, income, and living with the care recipient can have a negative impact on their health status.

  • The greater the caregiving burden, the greater the likelihood of negative health impact
  • 35% of caregivers with a high level of burden report fair or poor health
  • 15% of caregivers say their health is made worse

Emotional

Being a caregiver causes a greater degree of emotional stress compared to physical strain.

  • 51% of caregivers report they have less time for family, friends, and leisure activity
  • 44% gave up vacation time, hobbies, or social activities
  • One-third of caregivers report a high degree of emotional stress

Financial

  • 54% of caregivers say they contribute financially to the care of their loved one
    —On average, they spend $200 a month for the recipient's care
  • 12% state that they experience a great deal of financial stress
    —24% of those experiencing financial hardship live with the person they care for
    —25% who care for someone under the age of 50 state financial hardship

Remember to take care of yourself not only for your own emotional and physical health, but because you are too important to your loved one in their journey with advanced kidney cancer.

Joining support groups and programs can also help improve your ability to provide care for your loved one. Online support groups can help you connect with others who are affected by cancer and are affected by the responsibilities of providing care.

Keep track of your advanced
kidney cancer treatment

Use the Afinitor treatment diary to keep track of your treatment journey by recording:

  • Contact information
  • Appointments
  • Side effects
  • Lab results

Afinitor is a prescription medicine used to treat people with advanced kidney cancer (renal cell carcinoma or RCC) when certain other medicines have not worked (ie, Sutent® [sunitinib] or Nexavar® [sorafenib]).

Important Safety Information

Patients should not take AFINITOR if they are allergic to AFINITOR or to any of its ingredients. Patients should tell their healthcare provider before taking AFINITOR if they are allergic to sirolimus (Rapamune®) or temsirolimus (Torisel®).

AFINITOR can cause serious side effects including lung or breathing problems, infections and kidney failure, which can even lead to death. If patients experience these side effects, they may need to stop taking AFINITOR for a while or use a lower dose. Patients should follow their healthcare provider's instructions.

Lung or Breathing Problems: In some patients, lung or breathing problems may be severe, and can even lead to death. Patients should tell their healthcare provider right away if they have any of these symptoms: new or worsening cough, shortness of breath, chest pain, difficulty breathing or wheezing.

Infections: AFINITOR may make patients more likely to develop an infection, such as pneumonia, or a bacterial, fungal, or viral infection. Viral infections may include reactivation of hepatitis B in people who have had hepatitis B in the past. In some people these infections may be severe, and can even lead to death. Patients may need to be treated as soon as possible. Patients should tell their healthcare provider right away if they have a temperature of 100.5°F or above, chills, or do not feel well. Symptoms of hepatitis B or infection may include the following: fever, skin rash, joint pain and inflammation, tiredness, loss of appetite, nausea, pale stool or dark urine, yellowing of the skin, or pain in the upper right side.

Kidney Failure: AFINITOR may cause kidney failure. In some people this may be severe and can even lead to death. Patients should have tests to check their kidney function before and during their treatment with AFINITOR.

Mouth Ulcers: AFINITOR can cause mouth ulcers and sores. Patients should tell their healthcare provider if they have pain, discomfort, or open sores in their mouth. Their healthcare provider may tell them to use a special mouthwash or mouth gel that does not contain alcohol or peroxide.

Blood Tests: Patients will have regular blood tests before they start AFINITOR and as needed during their treatment. These will include tests to check the patient's blood cell count, kidney and liver function, and blood sugar levels.

Other Medicines/Food and AFINITOR: AFINITOR may affect the way other medicines work, and other medicines can affect how AFINITOR works. Using AFINITOR with other medicines can cause serious side effects. Patients should tell their healthcare provider about all of the medicines they take, including prescription and non-prescription medicines, vitamins, and herbal supplements such as: St. John's Wort and medicine for fungal infections, bacterial infections, tuberculosis, seizures, HIV-AIDS, heart conditions or high blood pressure, and medicines that suppress their immune system. Patients should not drink grapefruit juice or eat grapefruit during their treatment with AFINITOR as it may make the amount of AFINITOR in their blood increase to a harmful level.

Patients should not take AFINITOR tablets which are broken or crushed. Patients should not chew or crush the tablets.

Liver Problems and Other Medical Conditions: The amount of AFINITOR in the blood was increased in patients who had liver problems. Patients should tell their healthcare provider about all their medical conditions including if they have or have had liver problems, diabetes or high blood sugar, high cholesterol levels, infections, hepatitis B, or other medical conditions.

Vaccinations: Patients should tell their healthcare provider if they are scheduled to receive any vaccinations. Patients should not receive a live vaccine or be around people who have recently received a live vaccine during treatment with AFINITOR.

Use in Pregnancy: It is not known if AFINITOR will harm an unborn baby. Women should use effective birth control while using AFINITOR and for 8 weeks after stopping treatment.

Common Side Effects: Common side effects of AFINITOR include mouth ulcers; feeling weak or tired; cough and shortness of breath; diarrhea; skin problems (such as rash, dry skin, and itching); nausea and vomiting; fever; loss of appetite; swelling of arms, hands, feet, ankles, face or other parts of the body; abnormal taste; inflammation of lining of the digestive system; headache; nose bleeds; and pain in arms and legs.

Patients should tell their healthcare provider if they have any side effect that bothers them or does not go away.

You are encouraged to report negative side effects of prescription drugs to the FDA. Visit www.fda.gov/medwatch, or call 1-800-FDA-1088.

Please see Full Prescribing Information for AFINITOR



Sutent®, Rapamune® and Torisel® are registered trademarks of Pfizer Inc.
Nexavar® is a registered trademark of Onyx Pharmaceuticals, Inc. and Bayer HealthCare Pharmaceuticals, Inc.